Organization · NPI-2

Addis Health Services LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Greenbelt, MD

NPI number1558028324
StatusActive
Last updated in NPPESJan 12, 2024

Details

NPI
1558028324
Entity type
Organization (NPI-2)
Legal business name
Addis Health Services LLC
Organization subpart
No
Enumeration date
Nov 29, 2021
Certification date
Jan 12, 2024
Last updated
Jan 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
363LP0808X Nurse Practitioner, Psych/Mental Health––

Practice location

7835 Belle Point Dr
Greenbelt, MD 20770-3338

Phone 301-477-4916

Mailing address

8072 Horseshoe Cottage Cir
Lorton, VA 22079-2327

Phone 301-477-4916

Authorized official

Medhin Gebreamlak
President
7037327126

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